Contact WAIIS:

Added new functionality where the Correct Lot Decrementing page now includes a Patient ID column. When the Count is 1, the Patient ID column shows the patient ID. When the Count is more than 1, the Patient ID column shows LIST.

Added new functionality where a pop up showing patient details can be viewed by clicking on the Patient ID hyperlink.

Previously there was no schedule button for coverage rate report. Now the report can be scheduled.

Previously in the Reconciliation page no sorting options were available. Now sorting options added for Vaccine, Exp Date and Public columns. Tool tip was added when hovering over the vaccine description to display the corresponding description in VACMAN Vaccine Settings.

Added new permission, called Block Add Administered Vaccine Entry, to hide the Add Administered button on the Vaccination View/Add screen.

Added Run By for Organization (IRMS) Client and Facility Client users as currently seen by Registry Client users.

Added a new password rule, "Require At Least One Special Character in Password", in Password Rules page.

Added new functionality for cold storage units and temperature upload. A new property was added to the Facility Maintenance and Organization (IRMS) maintenance pages
that allows a provider to upload temperatures or not. A number of UI changes were also made.

Added export functionality to the Cold Storage screen.

Added new functionality, Inactive cold storage units are hidden by default, but can be displayed by selecting a checkbox.
A dialog box shows who entered a temperature and when.

Made changes to the Automatic Message system within IWEB, so the user has the option to send the message or not.

Added new functionality where cold storage units now include more fields, and the Orders > Cold Storage page navigation has been changed.

Added the functionality where the cold storage information provided in the provider agreement should update the cold storage information on
the main Cold storage screen.

Added dynamic tooltips to data formats drop down.

Added logs to Temperature Import to view any errors while importing.

Added the ability to import the downloadable data in a flat file import method.

Added the ability to message multiple or single providers from within IWEB.

Added new functionality where the Lot Number Summary Report can be generated by county.

Previously in Approve Order screen Order Set was not part of the displaying columns. Now Order Set column has been added to all of the sections within the Approve Order page.
Columns are now able to be sorted.

Added three new fields Organization, Facility and VFC PIN to 'Contact Information' section within the 'Contact Us' window in REACH.

Added a drop down 'Publicly Supplied Vaccine' to select private vaccines only, public vaccines only or all vaccine types and also added a new section 'View By' to allow the user
to select how they wish to the data broken down by.

Added a new section to the top of the Personal Settings page called “User Contact Information” which will allow the user to update their own address,
phone number and email, and added Accordions to Personal Settings page with inline editing. Added alert in the header about how many days password is going to expire.
This shows when password has to change within 14 days.

Added a new property to make the Contact information on the Create Order screen editable.

Added Last Updated Date and Last Updated By fields to the Organization (IRMS) and Facility detail and edit pages.

Fixed the issue, where private (Organization (IRMS)-specific) fields(Patient Race, Address Country, Guardian 1 SSN and Guardian Work Phone) on the Patient Demographics page were behaving like public fields.

Fixed a problem where the option 'Only Show Patient Info' on the Patient Detail Report was checked by default and it shouldn't be.

Fixed an issue with Expired Reconciliation Reason did not specify 'Expired Open Multi-dose Vials'.

Modified the Frozen Vaccine Page is to include Freezers and Refrigerators.

Added red messages to the Authorized Provider page to indicate if a provider has been added or removed compared to the previous agreement. When the agreement is Approved it will update the inactive status for the Physician for that Facility.

Added a report for Administrators to identify Providers who have higher than expected inventory adjustments in any category, and compares the Provider's adjustments to the State's adjustments and highlights deviations that are too high.

Added the ability for Providers to submit their Monthly inventory in addition to saving their inventory throughout the month.

Added the ability to set a specific vaccine as temporarily unavailable for ordering.

Added a column for the total of each vaccine on the Daily Inventory Report if Sort By is set to Vaccines.

Added the ability to create and use a profile with a Patient Student ID.

Add additional alerts on the Provider Agreement when a user changes the Facility Name or Signatory Name.

A default password setting now exists on the Password Rules page. If the default password has been set then the Web User Add and Web User Update pages will contain a new check box to use the default password. If the default password is used, the user will be forced to change the password when they log into IWeb.

Reminder Recall naming inconstancies has been corrected, so all instances will show Reminder/Recall.

Enhanced the Registry Statistics Report to include data that was previously included in the Weekly/Daily Status Reports and then eliminated the Weekly and Daily Status Reports.

Provider Agreement address change notification will now show with a PO Box change.

Add new functionality to the Provider Agreement so "Allow Online Orders" will automatically turn off and on when a Provider Agreement is Submitted and Approved.

Fixed an issue where receiving an order cause a null pointer stack trace, if the request returns null for order ID.

Added a new permission and property for Registry Client user, that only allows Registry Client users to inactive lots when they have the permission and the property is enabled.

Fixed Multiple Birth Order fields on the Patient Demographics screen so they are editable by all users, not just Registry Client and School Nurse users.

Added new screen to control the order threshold limits based on both funding and doses limits. Added new functionality to enforce ordering threshold, if the user order vaccine that is limited an alert message will be displayed and the user is asked to send a message in why the order is exceeding the limits.

Created a report that shows aggregate number of vaccines lost due to each reconciliation reason. Each number on the aggregate report should be click-able, and drill down to show the details of how each number was calculated.

Added drop-down menu to Facility Maintenance screen to indicate whether the Facility is active in VFC program, and created a VFC Active Provider Profile report.

Version: 5.14.11.2

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Date:
March 31, 2015

Washington State Immunization Information System Provider Agreement

This is an agreement ("Agreement") between the Washington State Department of Health ("DOH"),
and ("Provider") for the exchange of Immunization Data.

The Washington State Immunization Information System serves as
a data repository and data retrieval facility for health care providers and health plans,
to exchange immunization data in order to provide or coordinate health care for their patients.
Access to immunization data in the Washington State Immunization Information System
may be accomplished using one or more of the connectivity
methods described in Appendix A.

The Provider entering into this Agreement is (check one):

An individual who is licensed, certified, registered or otherwise authorized by the laws of the State of Washington
to provide health care in the practice of his or her profession or in the ordinary course of his or her business.

A professional corporation or limited liability company, public agency or other entity or organization which is
authorized or otherwise qualified to and does provide health care services through individual shareholders, members,
officers, employees, contractors, or other personnel who are licensed, certified, registered or otherwise authorized
to provide health care in the practice of their profession(s) or in the ordinary course of their business(es).

The Provider's Obligation to Supply Information to the Washington State Immunization Information System

The Provider will make reasonable efforts to
1) initiate new entries in the Washington State Immunization Information System after
providing immunization care to a patient for whom no
pre-existing record exists, 2) update Immunization Data in the Washington State Immunization Information System
as needed, and 3) edit a record
that is incorrect or incomplete, or notify the Washington State Immunization Information System
staff of a potential error if the Provider believes
any information contained in the record is not true, accurate, or complete.

The Provider shall strive to provide timely, accurate, and complete data, and acknowledges that other
providers will rely on this information in making decisions concerning patient care. The Provider expressly
agrees to indemnify, defend and hold harmless DOH for any claim for damages, which may arise from the
Provider's supply of knowingly or intentionally false or materially inaccurate or materially incomplete
immunization data to the Washington State Immunization Information System.

DOH's Obligation to Maintain Provider and Patient Confidentiality

DOH has adopted a Washington State Immunization Information System Information Sharing Policy (Appendix B) which guides its practice with respect to
release of patient-specific, provider-specific, and health plan-specific data. The provisions of this
policy are incorporated into this Agreement.

Joint Obligations to Maintain Patient Privacy

The parties agree that:

DOH may amend these Obligations 1) in order to comply with newly enacted or amended state or federal laws or regulations,
2) in response to a previously unanticipated risk of breach of privacy which may become apparent in the operation of
the information system, 3) in order to adopt standards, features or procedures which DOH may deem more effective in
the protection of privacy, or 4) in order to adopt other new or enhanced information system standards, feature
or procedures, so long as such new standards, features or procedures do not reduce or interfere with established
privacy protections. Such amendments will be incorporated into this Agreement and will become effective upon DOH's
written communication of the change to the Provider. Such amendments shall not affect the other provisions of this
contract.

The Provider shall disclose information about individual patients, received from other providers through CHILD
Profile only to those patients, their parents or other legal guardians (if applicable), to the Provider's employees,
contractors, officers, agents or other affiliates authorized to act on behalf of the Provider under this Agreement,
or to Providers who need the information in order to provide health care to that patient, unless 1) the Provider
obtains a release under the terms stated below, or 2) a court order requires such disclosure.

DOH shall disclose information about individual patients only to those patients, their parents or other legal guardians
(if applicable), to providers subject to an Information Sharing Agreement with DOH, to Health Plans that have
entered into a Health Plan Information Sharing Agreement with DOH, unless 1) DOH obtains a release under the
terms stated below, or 2) a court order requires such disclosure.

If either DOH or the Provider discloses information pursuant to a release, which is otherwise barred from disclosure under
this Agreement, the party making the disclosure shall ensure that the release is 1) in writing, with a copy
retained by the disclosing party, 2) executed by a person with the legal authority to enter into such a release,
3) legally applicable to the information to be disclosed, and 4) effective on the date of the disclosure.

The Provider shall ensure that the Washington State Immunization Information System user ID's
and passwords are disclosed only to individuals authorized by the
Provider to access patient Immunization Data. In the event the Provider discovers that
the Washington State Immunization Information System's privacy
and security have been breached, the Provider shall notify DOH immediately.

Any Immunization Data the Provider obtains from the Washington State Immunization Information System
about individual patients may only be used by the Provider
and its Personnel for the purpose of providing immunizations or otherwise coordinating health care for its Patients.
In the event the Provider discovers that any person associated with the Provider may have accessed information for
any other purpose, the Provider shall notify DOH immediately.

Information to be Provided by DOH

Information Services Available to the Provider at no charge under this Agreement are set forth in Appendix A.
DOH may make additional or enhanced information services available to the Provider, from time to time,
by giving written notice of the changes.

DOH acknowledges that the Provider and its Personnel will use the Immunization Data supplied by the
Washington State Immunization Information System
for the purpose of providing immunizations or otherwise coordinating health care for its patients. DOH does not
guarantee, but will use its best efforts to contribute to, the truth, accuracy or completeness of any information
provided under this Agreement, including but not limited to individual patient information. However, the Provider
is solely responsible for exercising independent professional judgment in the use of such information. DOH will
not be liable for any general, special, consequential or other damages which may arise or be claimed to arise
from any use of information by the Provider and/or the Provider's employees, contractor, officers, agents or other affiliated persons.

Modifications

Except as provided for in paragraphs VI.A and VII.A, this Agreement may be modified only in writing signed by both parties.

Termination

This Agreement may be terminated:

By either party giving at least 30 days notice in writing of intent to terminate;

By DOH immediately at its discretion upon verification of any material breach by
the provider of the Joint Obligations to Maintain Patient Privacy described in section VI;

By the Provider immediately in the event that DOH materially fails to comply with the terms of the Agreement
between the parties for the provision of specific Immunization Data as referenced under Information to be
Provided by DOH. Upon written request, all Immunization Data submitted by the Provider during the term of
the Agreement may be returned to the Provider.

Choice of Law and Venue.

This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington
and any applicable federal laws. The provisions of this agreement shall be construed to conform to those laws.
The jurisdiction for any action hereunder shall be exclusively in the Superior Court for the state of Washington.

Provider Information
(Please type or print all information)

By executing below, the Provider accepts the terms and conditions of this Agreement:

By execution of this Agreement, the parties so signing acknowledge they have full power and authority to enter
into and perform this Agreement on behalf of the signatory as well as the business entity referenced within
the body of the Agreement.

Appendix A

INFORMATION SERVICES
AVAILABLE TO THE PROVIDER

The Washington State Immunization Information System is operated for the benefit of children,
their care providers, health plans, public health agencies and
other entities that are concerned with assuring the effective immunization of children. DOH is solely responsible
for the operation of the Washington State Immunization Information System, which contains data about children in
Washington State, including demographic information and immunization treatment history.

The Provider will have full access to the Washington State Immunization Information System and its
on-line service features twenty-four hours a day, seven days
a week. When routine or emergency system maintenance is required, the Washington State Immunization Information System
will schedule system down-time
outside of regular business hours and with prior notice whenever possible. Use of the
Washington State Immunization Information System is made available to
the Provider in accordance with the guidelines and end-user procedures established in the Registry's End User's Guide.
Each Provider will receive a hard copy or access to an electronic copy.

Access to the Washington State Immunization Information System

Providers may participate in the Registry via two methods:

Web-based access - operates on most computers with internet access and a web browser;

On-line Patient Record Queries and Immunization Record Access and Updating

Once identity has been established in accordance with the user authentication procedures for
Washington State Immunization Information System,
the following services are available to the Provider under this Agreement:

Queries, Access and Updating:

query the system to determine if a patient has a record in the Washington State Immunization Information System database

update the existing demographic data for the patient and/or create a new demographic record

query the system to view the record of immunization treatment events for the patient

obtain a vaccination forecast showing when vaccines are due for each individual

The algorithm for this forecast is based on the pediatric immunization schedule published by
the Centers for Disease Control and Prevention (CDC) with the advice of the American Academy of Pediatrics
(Advisory Committee on Immunization Practices). The algorithm is subject to change if/when the CDC establishes
new guidelines.

Vaccine Ordering

Washington's Childhood Vaccine Program is moving toward on-line ordering of vaccine by providers who are enrolled in
the Program. Vaccine ordering permission allows the qualified user to order their vaccines from the state through
use of the Washington State Immunization Information System web-based program, and to track the order status on-line.

Other on-line vaccine management functions will be available in 2011 and beyond. They include:

Meet CDC's EOQ (Economic Order Quantity) best practice standards with on-line support for order timing,
frequency and recommended order quantities

Accountability reporting - use your existing Washington State Immunization Information System
Account to submit electronic vaccine accountability
information, or log-on and enter your data on-line, and electronically submit it to your LHJ when you place your
vaccine orders.

Reminder - Recall

The Reminder- Recall function allows the Provider to produce phone lists, mailing labels and postcards for patients.
The list may be broken out by a number of parameters including antigen, age of patient, immunization due date,
physician, facility, and next appointment date. The text of the postcard can be modified to include clinic
specific information.

In addition, the Health Promotion Mailings described below remind parents when immunizations are due.
These are age-specific reminders that do not reflect the child's immunization history.

Contraindications/Exemptions

Contraindications can be flagged for specific vaccines, and the specific reason for the contraindication
or precaution selected from a drop-down list. History of varicella disease may also be recorded.
When a contraindication is recorded, that vaccine will no longer appear on forecasts or recall lists for that patient.

The Washington State Immunization Information System generates the following reports that may be
viewed on screen or printed on the Provider's printer.
These reports can be generated based on facility or primary care provider, if that information has been entered.

The CASA Export Module streamlines the process for providers to run immunization assessment reports by allowing
them to receive their Washington State Immunization Information System data files directly at their
workstations for import into CoCASA.
CoCASA is a free software package developed by and available from the CDC, for use by clinics to evaluate
immunization coverage levels and immunization practices.

Batch Processing & HL7 Exchange of Immunization Data

In addition to entering data through the on-line system, providers may store data in the
Washington State Immunization Information System through
batch processing. They may do so by providing data files in a flat file format that conforms with the
Washington State Immunization Information System's
Data Translation Tool specifications. This service facilitates entry of the Provider's complete historical
Immunization Data into the system, as well as ongoing entry for Providers with electronic systems that capture
immunization data. If Providers want to receive batch data in return, the
Washington State Immunization Information System will effect the exchange of
data with the Provider within a mutually agreeable period of time. HL7-based data exchange is also available.

Health Promotion Mailings

The parents of all children born after 7/01/98, and residing in Washington State, receive a series of seventeen
age-specific mailings sent by the Washington State Immunization Information System
until the sixth birthday. These mailings focus on health, growth and
development, safety, and reminders to schedule well-child visits and immunizations. Parents of children birth to
six years, added to the system by your medical organization will receive these mailings. Parents may opt out of
the mailings by calling a toll-free number listed in all the mailings.

Appendix B

It is the intent of the Washington State Department of Health (DOH) that no information from the
Washington State Immunization Information System
database will be made available to any party without appropriate authorization. The privacy of uniquely
identified information about patients, health care providers and health plans will not be compromised.
DOH intends to ensure that its privacy and security policies and practices meet or exceed the standards
set by state and federal law for the privacy protection of individual health information. The basic guidelines
relative to information disclosure are as follows:

Sharing of immunization records among health care providers, for the purpose of assisting the health care
provider to deliver health care to a patient, is compatible with the Uniform Health Care Information Act (RCW 70.02).

Patient-specific information in the Washington State Immunization Information System database is
available to health care providers providing or
coordinating care for patients and authorized to use the database through a signed information sharing agreement.
Staff from the Department of Health whose work duties require access to the
Washington State Immunization Information System database and who have
signed confidentiality agreements may also access patient-specific information in the database. The available data
in the patient-specific immunization record may include the identity of the provider or organization that
has administered a specific immunization.

Any individual authorized to access the Washington State Immunization Information System
database: (1) will only release patient-specific information
in accordance with federal and state law including 42 U.S.C. Â§ 1396a(a)(7), 42 C.F.R. Â§ 431 Subpart F, 45 C.F.R. Parts 160
and 164, RCW 48.43.505 and its implementing regulations (Chapter 242-04 WAC), RCW 70.02, and RCW 74.04.060;
(2) will only release provider-specific or health plan-specific information with the consent of the provider or
health plan, and (3) will only make use of patient-specific, provider-specific, or health-plan-specific information
for the provision of health care with the exception of disclosure of patient-specific information to federal, state,
or local public health authorities to control an infectious disease outbreak (RCW 70.02.050(2)).

A Health Plan requesting patient-specific immunization information on its enrollees must assure DOH through a data
sharing agreement that release of this information is for the purpose of the Health Plan's disease management,
care management, case management, or quality management programs.

It is the intent of DOH to use data from the Washington State Immunization Information System
for assessment, assurance, program evaluation
and outbreak control activities. Both non-identified and identified data may be used to support these activities.
Staff and contractors of the DOH will use patient and provider specific data to conduct quality improvement analysis
with immunization providers who have contracted to receive and administer state-supplied vaccine. DOH will not conduct
provider-specific analysis of immunization coverage without the involvement of the provider.

Researchers requesting a data set with identified or identifiable information from the
Washington State Immunization Information System database will
receive the data from Washington State Immunization Information System only after review and approval
by the Washington State Institutional Review Board
and administrative approval by the Department of Health or informed written consent from each individual (RCW 42.48).